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ILECTRICAL PERMIT A*LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857+1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> . � 4iE �w, * - 5.. ,ur-� -;® 4otl 0, 74-i'''- VII-V'-'44-4(0f,y` ' ;,r24 <br /> � .4.,.:'%?-,,,. N r,✓., , „":.:'✓k����,.�s�✓, <br /> PROJECT ADDRESS: 1202 Shuksan Way <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Commercial Office/Warehosue <br /> ;; ,..,` ELECTRICAL APPL�I CATION INFORM lTION , <br /> CONTRACT PRICE OF WORK: $ 5500 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Provide connections to eight 120/208v forklift battery chargers. Provide breaker capacity if <br /> required. <br /> MA f <br /> . ._ <br /> OWNER NAME: FUNKO TENANT NAME(If Commercial): FUNKO <br /> OWNER MAILING ADDRESS: STREET 1202 SHUKSAN WAY <br /> clTr EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: 425-783-3616 OWNER EMAIL: <br /> CONTRACTOR NAME: ZORKO ELECTRIC, INC. <br /> CONTRACTOR ADDRESS: STREET PO BOX 100 <br /> clTr DUVALL STATE WA zip 98019 <br /> CONTRACTOR PHONE: 425-788-7710 CONTRACTOR EMAIL: kentv@zorkoelectric.com <br /> CONTRACTOR LIC.#(REQUIRED) ZORKOEI121 OK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048520 <br /> „w, �.w ,..�.. ..,„ �. ..._ .uY� a .,,, „, �, �. _ , fi, , �.�._,. <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-510-6700 <br /> BILL KANZLIETER CONTACT EMAIL: billk@zorkoelectric.com • <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Kent VanderWeide 8/31 /1 8 E - CXR Z <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />